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S E L E <br /> BACKWATER PREVENTION DEVICE PROGRAM WA COD <br /> ,1.5 EP '14 <br /> Our records indicate that a backwater prevention device must be installed onpkvir .. <br /> sewer connection to comply with the new ordinance.Please help us verify that our <br /> information is correct by answering the following questions about your property: <br /> Do you have a basement? Yes ❑ No [ ` I t5 g <br /> If yes,does it have plumbing fixtures(sink,toilet,floor drain,etc.)? Yes 'No ❑ <br /> Do you have a backwater valve on your sewer line? Yes ❑ No ❑ Don't Know <br /> Do you have a grinder pump in your basement? Yes ❑ No 'Don't Know ❑ <br /> Name: J I M <br /> Property address: 1 (0 V 2.. W VI bR\ eJ t P')3 <br /> Phone 1: Lt 29 1138o Phone 2: <br /> Email: ' t!'oVi ksefife At.t m > vve <br />